Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $1,055.00 / $5,091.00	Facility		$99.15	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $135.75 / $224.03	Professional		$51.18	$135.75	$224.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.37 / $1,216.02 / $1,824.14	Facility		$374.37	$1,216.02	$1,824.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $107.97 / $299.54	Professional		$100.08	$107.97	$299.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $137.44 / $257.18	Professional		$56.65	$137.44	$257.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $211.02 / $403.69	Professional		$72.83	$211.02	$403.69
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $64.64 / $198.76	Professional		$59.59	$64.64	$198.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $229.34	Professional		$32.34	$32.34	$229.34
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $192.60 / $353.23	Professional		$137.63	$192.60	$353.23